Individual
BRANDON LOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19824 W CATAWBA AVE, CORNELIUS, NC 28031-4046
(704) 987-9087
Mailing address
744 COTTON GIN ALY, DAVIDSON, NC 28036-9324
(704) 502-7142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11796
NC
Other
Enumeration date
04/17/2020
Last updated
06/25/2020
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